Fundamentals Of Health Insurance, Part B (Basics Of Company Operations)

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This online course is a survival guide when it comes to understanding health insurance operations. You’ll gain a thorough introduction to business basics, including issuance and installation of policies; policy renewal and changes; premium billing and payment; claims administration; pricing; and state and federal regulation of insurance. Recently expanded and now offered in a convenient online format, this course brings you up to date on new developments, such as wellness programs, the medical home concept, health information technology, price and quality transparency, and landmark health care reform initiatives. To facilitate study and review, short quizzes are included in each section of the course.

What You’ll Learn:

The administration of group health insurance plans

Procedures for issuance and installation of policies

Policy renewal processes

Premium billing and payment

How to manage, submit, and process claims

How to control operational costs

How to promote cost-effective health care

The definition, detection, and prevention of health insurance fraud and abuse